The Devereux Foundation

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

GH311AU Issued in NJ

Legal business name

THE DEVEREUX FOUNDATION

Doing business as

Devereux Advanced Behavioral Health

Practice address

198 Roadstown Road
Bridgeton, NJ 08302

Phone

(856) 599-6400

Fax

(856) 599-6404

NPI assigned

Apr 20, 2017

Last updated

Apr 20, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Carole Cirucci

Title

Director of Finance

Phone

(856) 599-6429

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Devereux Advanced Behavioral Health Doing business as

Tax ID family

Comm SVCS of Devereux332 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Jackson, NJ
  • NPI 1053117333
  NPD tax ID
• Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Clayton, NJ
  • NPI 1144137951
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • South Harrison Township, NJ
  • NPI 1023675808
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hillsborough, NJ
  • NPI 1043866858
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Halth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hewitt, NJ
  • NPI 1114585882
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hewitt, NJ
  • NPI 1164080834
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Developmentally Disabled Services Day Training Agency
  • Sicklerville, NJ
  • NPI 1164901351
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Somerset, NJ
  • NPI 1174909469
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Glassboro, NJ
  • NPI 1003340761
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Glassboro, NJ
  • NPI 1003340852
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Egg Harbor Township, NJ
  • NPI 1073047668
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bound Brook, NJ
  • NPI 1083148670
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1124552716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 MANTUA GROVE ROAD",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "08066",
            "telephone_number": "856-599-6400",
            "fax_number": "856-599-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 ROADSTOWN ROAD",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "08302",
            "telephone_number": "856-599-6400",
            "fax_number": "856-599-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEVEREUX FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "CIRUCCI",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "856-599-6429",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH311AU",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0399507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devereux Advanced Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori C Talbot, MD
• Anthony C Tamburello, MD
• Fritzi Alma Tanner, M.D.
• Karla Yasel Tapia Pliego
• Shaylynn Teal-Canty, PHARMD, RPH
• The Devereux Foundation (Devereux Advanced Behavioral Health)
• The Devereux Foundation (Devereux Advanced Behavioral Health)
• The Devereux Foundation (Devereux Advanced Behavioral Health)
• The Devereux Foundation (Devereux Advanced Behavioral Health)
• The Devereux Foundation (Devereux Advanced Behavioral Health)

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bridgeton, NJ
• Providers in Bridgeton, NJ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.